Top 27 Documentation and authorization specialist Jobs in Columbus

Prior Authorization Specialist
Integrated Services for Behavioral Health —Columbus, OH
- $19.00 - $22.26 an hour
- Hybrid work
- Mid-level
- 2 years
- Communication skills
- Disability insurance
- Health insurance
Quick Apply
Medical Assistant
Gentle Footcare LLC —Hilliard, OH
- Full-time
- Bilingual
- Vital signs
- Ability to walk for extended periods
- Paid time off
Medical Assistant
Gentle Footcare LLC —Hilliard, OH
- Full-time
- Bilingual
- Vital signs
- Ability to walk for extended periods
- Paid time off
Specialist, Utilization Review
Columbus Springs East —Columbus, OH
- Full-time
- CPR Certification
- Management
- BLS Certification
- Disability insurance
- Health insurance
Quick Apply
Pharmacy Benefit Verification Specialist
Onco360 —Columbus, OH
- From $24 an hour
- Full-time
- Writing skills
- Basic math
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
Physician Office Specialist
OhioHealth —Bexley, OH
- Full-time
- High school diploma or GED
- Cleaning
- Communication skills
Central Intake Admissions Specialist
Otterbein SeniorLife —Columbus, OH
- Microsoft Excel
- Microsoft Outlook
- Marketing
- Paid holidays
- Health insurance
Quick Apply
9d
Physician Office Specialist - PCP Davidson Dr
OhioHealth —Reynoldsburg, OH
- Full-time
- High school diploma or GED
- Cleaning
- Communication skills
Physician Office Specialist - Bing Cancer Center - Position Starting at $16.51/hr
OhioHealth —Columbus, OH
- From $16.51 an hour
- Full-time
- Hospital
- High school diploma or GED
- Cleaning
7d
Physician Office Specialist- Vascular Surgery
OhioHealth —Columbus, OH
- Full-time
- Microsoft Excel
- Surgery
- Mid-level
Care Coordinator
Chen Medical Associates —Columbus, OH
- $17.00 - $24.26 an hour
- Weekends as needed
- CPR Certification
- Microsoft Excel
- Microsoft Outlook
- Opportunities for advancement
9d
Billing Specialist
Forward Health —Columbus, OH
- Full-time
- HIPAA
- Mid-level
Quick Apply
Regional Business Office Manager
Wallick Properties Midwest LLC —New Albany, OH
- Full-time
- 5 years
- Office
- Bachelor's degree
Quick Apply
Medical Assistant PRN
Concentra —Groveport, OH
- PRN
- Microsoft Excel
- Vital signs
- Microsoft Outlook
Medical Assistant
Chen Medical Associates —Columbus, OH
- $17.00 - $24.26 an hour
- Weekends as needed
- Vital signs
- Microsoft Outlook
- Computer literacy
- Opportunities for advancement
Medical Assistant
Concentra —Columbus, OH
- Full-time
- Microsoft Excel
- Vital signs
- Microsoft Outlook
- Commuter assistance
- Disability insurance
14d
Client Engagement Senior Associate, Tax Operations
Crowe —Columbus, OH
- $21.75 - $44.50 an hour
- Full-time
- Hybrid work
- 5 years
- Continuous improvement
- US work authorization
Quick Apply
5d

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Prior Authorization Specialist
Integrated Services for Behavioral Health —Columbus, OH
An associate's or bachelor's degree in human services, social work, or a related field is preferred. 2 years of experience in healthcare, behavioral health, or…
$19.00 - $22.26 an hour
Quick Apply
Medical Assistant
Gentle Footcare LLC —Hilliard, OH
Support front desk or administrative functions when needed. Prepare exam rooms, instruments, and supplies for podiatric procedures.

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documentation and authorization specialist jobs near columbus

Prior Authorization Specialist

Integrated Services for Behavioral Health -
Columbus, OH

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Job Details

$19.00 - $22.26 an hour

Benefits

Disability insurance
Health insurance
Dental insurance
Paid time off
Employee assistance program
Vision insurance
401(k) matching

Qualifications

Mid-level
2 years
Communication skills

Full Job Description

We are seeking a Prior Authorization Specialist!

Southeastern, OH

Integrated Services for Behavioral Health (ISBH) is a community-minded, forward-thinking behavioral health organization helping people along the road to health and well-being. We meet people in their homes and communities and help connect them to the resources they need. We serve Southeastern and Central Ohio with a comprehensive array of behavioral health and other services, working with local partners to promote healthy people and strong communities. All of our services are intended to be collaborative and personalized for the individual.

The Prior Authorization Specialist serves as the lead staff member for prior authorizations within Integrated Services for Behavioral Health. This role supports timely access to behavioral health and substance use treatment services by coordinating insurance approvals, resolving coverage barriers, monitoring authorization requirements, and collaborating closely with clinical, intake, billing, and care coordination teams.

The salary for this position is $19.00-$22.26 an hour, based on experience.

Essential Functions:

Lead the prior authorization process for outpatient behavioral health, substance use disorder, intensive outpatient, and other covered services, including submissions, extensions, and continued stay reviews
Coordinate with providers and clinical teams to obtain and submit required documentation supporting medical necessity and authorization requests
Monitor authorization timelines, approved units, and expiration dates to prevent service interruptions and potential denied claims
Communicate authorization approvals, denials, and follow-up needs to clinical, billing, and operational staff
Assist with appeals, reconsiderations, peer reviews, and the resolution of denied or delayed services
Verify insurance eligibility, behavioral health benefits, and service coverage across Medicaid, managed care, commercial insurance, and OhioRISE plans
Support coordination of coverage changes, payer transitions, Medicaid enrollment issues, and secondary insurance concerns.
Serve as a liaison between clinical staff, billing teams, insurance companies, and external partners regarding authorization and coverage issues
Develop and improve workflows, tracking systems, and communication processes related to authorizations and insurance navigation
Monitor authorization trends, payer requirements, denials, and operational barriers while participating in interdisciplinary meetings and process improvement initiatives
Utilize databases and Electronic Health Record systems for accurate client information retrieval
Maintain compliance with HIPAA, mandated reporting requirements, and professional ethical guidelines
Other duties as assigned

Minimum Requirements

Education:

A high school diploma or GED is required
An associate's or bachelor's degree in human services, social work, or a related field is preferred

Experience:

2 years of experience in healthcare, behavioral health, or a related field is preferred
2 years of experience working with prior authorization, insurance verification, behavioral health operations, medical billing, utilization review, or healthcare navigation is preferred
Experience working within community mental health, substance use treatment, healthcare, or social service settings is preferred

Knowledge, Skills, and Abilities:

Advanced communication skills, both oral and written is required
Advanced organizational skills are required
Problem-solving and customer service skills are required
The ability to maintain confidential information is required
Knowledge of Medicaid, managed care, commercial insurance, OhioRISE, waiver services, and behavioral health authorization processes is preferred
The ability to manage multiple priorities and maintain attention to detail in a fast-paced environment is required
Proficiency with electronic health records and Microsoft Office applications is required
Ability to manage deadlines within a fast-paced, high-volume environment is required
The ability to operate in an Internet-based, automated office environment is required
The ability to maintain a high-speed internet connection is required

Physical Requirements:

Prolonged periods of sitting at a desk and working on a computer are required
Must be able to lift up to 15 pounds at times

Enjoy a great work environment with an excellent salary, generous paid time off, and a strong benefits package.

Benefits include:

Medical
Dental
Vision
Short-term Disability
Long-term Disability
401K w/ Employer Match
Employee Assistance Program (EAP) provides support and resources to help you and your family with a range of issues.

To learn more about our organization: https://ISBH.org/

OUR MISSION
Delivering exceptional care through connection

OUR VALUES
Dignity - We meet people where they are on their journey with respect and hope

Collaboration - We listen to understand and ask how we can best support the people and communities we serve

Wellbeing - We celebrate one another's strengths, and we support one another in being well

Excellence - We demand high-quality care for those we serve, and are a leader in how we care for one another as a team

Innovation - We deeply value a range of perspectives and experiences, knowing it is what inspires us to stretch past where we are and reach towards what we know is possible

"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this position. It is not to be construed as an exhaustive list of duties performed by the individuals in this role, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision.”

We’re an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

Quick Apply

Refine Your Search

documentation and authorization specialist jobs in columbus

Prior Authorization Specialist

Medical Assistant

Medical Assistant

Specialist, Utilization Review

Pharmacy Benefit Verification Specialist

Physician Office Specialist

Central Intake Admissions Specialist

Physician Office Specialist - PCP Davidson Dr

Physician Office Specialist - Bing Cancer Center - Position Starting at $16.51/hr

Physician Office Specialist- Vascular Surgery

Care Coordinator

Billing Specialist

Regional Business Office Manager

Medical Assistant PRN

Medical Assistant

Medical Assistant

Client Engagement Senior Associate, Tax Operations

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